Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $163.71 / $163.71 / $163.71	Facility	26	$163.71	$163.71	$163.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.57 / $369.57 / $504.36	Professional		$369.57	$369.57	$504.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.06 / $405.36 / $428.14	Professional		$185.06	$405.36	$428.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.93 / $350.31 / $779.30	Professional		$291.93	$350.31	$779.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $451.25 / $507.00 / $820.25	Professional		$451.25	$507.00	$820.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.86 / $433.20 / $820.25	Professional		$172.86	$433.20	$820.25
United Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $486.42 / $940.06	Professional		$324.27	$486.42	$940.06